Supervisor, UM Inpatient (AHN)
About The Position
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day. Job Overview The LVN Supervisor, Utilization Management - Clinical position is responsible for overseeing and managing the day-to-day operations of the Utilization Management Department, health plan delegated activities, and medical management initiatives. This position works closely with the Manager, Director, Medical Director, and VP to evaluate and monitor medical appropriateness determinations and care coordination activities. This position is responsible for developing and implementing strategic plans that will directly impact cost containment and improve patient outcomes.
Requirements
- Graduated from an accredited LVN school with a current LVN license issued by the State of California, Vocational Nursing.
- A minimum of 3 years of experience in a managed care environment is required.
- Minimum of 1 year of leadership experience preferred (lead or supervisor)
- Knowledge of State and Federal regulations is required.
- A minimum requirement of a valid BLS certification or higher, following the American Heart Association (AHA) or the American Red Cross guidelines.
Nice To Haves
- RN, preferred
- AA degree or equivalent work experience preferred
Responsibilities
- overseeing and managing the day-to-day operations of the Utilization Management Department
- health plan delegated activities
- medical management initiatives
- evaluate and monitor medical appropriateness determinations and care coordination activities
- developing and implementing strategic plans that will directly impact cost containment and improve patient outcomes
Benefits
- Medical, Dental and Vision insurance
- 403(b) Retirement savings plans with employer matching contributions
- Flexible Spending Accounts
- Commuter Flexible Spending
- Career Advancement & Development opportunities
- Paid Time Off & Holidays
- Paid CME Days
- Malpractice insurance and tail coverage
- Tuition Reimbursement Program
- Corporate Employee Discounts
- Employee Referral Bonus Program
- Pet Care Insurance
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
